Name and Address of Repossessor. Address. Commissioner of Motor Vehicles (enter Name of Motor Vehicles office notified).The following are guidelines to help you formulate a repossession policy for the credit union to follow. The lender or leaseholder can repossess the car even if you are only a few weeks behind in your payments and even without any notice to you. The lender is required to itemize the costs of the repossession in a specific way. These costs should be detailed in an explanation letter. Our letter template is user-friendly and customizable to meet the specific needs of each individual. The form cannot be filed electronically. 1. Enter the lienholder's name and address. To fill out this form, you'll need to provide detailed information about the repossessed vehicle and follow specific steps to notify the appropriate parties.